Individual
DR. C. CHRIS COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1206 MISSION 66, VICKSBURG, MS 39183-3137
(601) 638-2081
(601) 638-2171
Mailing address
1206 MISSION 66, VICKSBURG, MS 39183-3137
(601) 638-2081
(601) 638-2171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
522
MS
332H00000X
Eyewear Supplier
522
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087003
—
MS
Enumeration date
08/30/2006
Last updated
11/14/2013
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